2017-2019 Three-Year Plan - TN.gov · o expand access to quality behavioral health services to...
Transcript of 2017-2019 Three-Year Plan - TN.gov · o expand access to quality behavioral health services to...
Tennessee Department of
Mental Health and Substance
Abuse Services
(Year Two – FY 2018) Prepared by: Avis Easley Director of Planning
Division of Planning Research & Forensics
2017-2019 Three-Year Plan
TABLE OF CONTENTS
Table of Contents……………………………………………………………………………………………………………………………………… page 1
Overview…………………………………………………………………………………………………………………………………………………... page 2
Organization of the Department………………………………………………………………….............................................. page 3
Division of Hospital Services (DHS)……………………………………………………………………………………………………………. page 4
Division of Planning, Research, and Forensics (DPRF)……………………………………………………………………………….. page 5, 6, 7, 8, 14, 18
Division of Mental Health Services (DMHS)………………………………………………………………………………………………. page 8, 9, 10, 11, 15, 16
Division of Administrative and Regulatory Services (DARS)………………………………………………………………………. page 11
Division of General Counsel (DGC)……………………………………………………………………………………………………………. page 12
Division of Substance Abuse Services (DSAS)……………………………………………………………………………………………. page 12, 13, 14, 17
Office of Communications (OC)……………………………………………………………………………………………………………….. page 17
Division of Clinical Leadership (DCL)………………………………………………………………………………………………………… page 18
Reporting………………………………………………………………………………………………………………………………………………… page 20 - 34
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Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS)
Overview
TDMHSAS Vision:
To be one of the nation's most innovative and proactive state behavioral health authorities for Tennesseans dealing with mental health and substance abuse problems.
TDMHSAS Mission:
Provide, plan for, and promote a comprehensive array of quality prevention, early intervention, treatment, habilitation, and recovery support services for Tennesseans with mental illness and substance abuse issues. TDMHSAS Goal: To expand access to quality behavioral health services to Tennesseans on the path to recovery from mental health, substance abuse, and co-occurring disorders.
TDMHSAS Customers:
Individuals and families struggling with mental health and substance abuse issues, providers, legislators, other state agencies, and consumer/advocacy groups.
TDMHSAS Services:
Education, prevention, treatment, licensing oversight for community organizations providing behavioral health services, outpatient and inpatient care, operation of regional mental health institutes, and research and public policy.
Public Safety Strategic Goal:
Lead in partnership with State agencies and community partners to prevent and treat the prescription drug abuse epidemic in Tennessee
Health and Welfare Operational Goals:
1. Actively work with RMHI leadership continuing efforts to improve outcomes for patient care while containing cost 2. Maintain and improve community mental health and substance abuse services 3. Educating Tennesseans and working to improve their understanding of mental health and substance abuse issues and getting people to early intervention services
Customer Focused Government Goals: 1. Efficient and effective management of the Regional Mental Health Institutes (RMHIs) 2. Maintain and improve community mental health and substance abuse services 3. Provide effective education and prevention services 4. Lead in partnership with state agencies and community partners to prevent and treat prescription drug abuse epidemic in Tennessee
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Organization of the Department
Division of Administrative and Regulatory Services (DARS) oversees monitoring, information technology, general services, procurement, major maintenance, capital outlay projects, administrative oversight for the Regional Mental Health Institutes (RMHIs), licensing of all Tennessee agencies providing mental health, substance abuse, personal support services, and investigating complaints of abuse, neglect or fraud against licensed organizations.
Office of Fiscal Services oversees general accounting functions including accounts receivable and payable and interactions with state and federal funding sources.
Division of Substance Abuse Services (DSAS) is responsible for planning, developing, administering, and evaluating a statewide system of prevention, treatment, and recovery support services for the general public, persons at risk for substance abuse, and persons abusing substances.
Division of Clinical Leadership (DCL) promotes high quality services through consultations, clinical oversight, education, the development and revision of clinical policies and best practice guidelines, and the advancement of research reviews.
Division of Planning, Research, and Forensics (DPRF) provides planning, decision support and evaluation, and forensic and juvenile court services administration.
Division of Mental Health Services (DMHS) administers and supports a diverse array of services and supports for individuals of all ages living with mental illness, co-occurring disorders, and/or serious emotional disturbances. DMHS creates, expands, and oversees community-based programs and community support services including adults and children, housing, crisis services, suicide prevention and peer-to-peer recovery services.
Division of Hospital Services (DHS) provides oversight of operation of the four Regional Mental Health Institutes (RMHIs) and three private contracted hospitals in East Tennessee for administrative, quality management, program services, and nursing services.
Division of General Counsel (DGC) provides comprehensive legal support to the Department including legal and administrative proceedings, conducts internal investigations, reviews contracts for legal sufficiency and administratively processes them, handles departmental legislation and rules, and serves as the privacy officer and counsel for the Department. The General Counsel serves as the Department’s chief legal advisor and the Assistant Commissioner overseeing the DGC.
Office of Human Resources (OHR) assists the Department of Mental Health and Substance Abuse Services (TDMHSAS) in obtaining and maintaining a workforce that is capable of fulfilling the Department’s mission and objectives.
Office of Communications (OC) develops internal and external communication including the drafting, production, and distribution of news releases and statements to the media, publication of quarterly Department newsletters, and managing the Department's website.
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Goal 1: Efficient and effective management of the RMHIs Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Hospital Services (DHS)
Provide efficient patient care by reducing available suitable accommodations (ASA) wait time occurrences for inpatient evaluation.
Continue to effectively implement ASA processes to accommodate 12,000 presentations at the RMHIs
< 4,000 presentations at the RMHIs
Number of presentations waiting for an available suitable bed at an RMHI will be fewer than the previous fiscal year
Provide quality patient care
Percentage of individuals being readmitted to the RMHIs within 30 days of discharge will decrease
Fewer than 15% of individuals discharged being readmitted within 30 days
Percentage of readmits within 30 days of discharge will be less than 15%
Improve patient satisfaction scores related to resolution of complaints and grievances at four RMHIs
Increase patient satisfaction survey scores related to resolution of patient complaints and grievances
80% of individuals completing a satisfaction survey will report satisfaction with the resolution of patient complaints and grievances
Percentage of individuals reporting satisfaction with resolution of complaints and grievances will be at least 80%
Identify barriers to discharge
Overcome barriers associated with discharge from subacute units at RMHIs
360 subacute discharges by end of year
Number of discharges from subacute units across all RMHIs
Statewide implementation of automated medication dispensing cabinets (AMDC) for a total of 23 cabinets
Modernization of medication dispensing for four RMHIs
One AMDC for each unit at each RMHI for a total of 24
Number of AMDC implemented for each unit at each RMHI
Statewide implementation of an Electronic Clinical Record (ECR) at four RMHI
Modernization of electronic charting and recordkeeping
ECR implemented at four RMHIs
Number of ECR implemented at four RMHIs
Provide access to inpatient services for uninsured individuals in Regions 1&2
Serve uninsured individuals needing inpatient services within Regions 1&2
3,000 uninsured admissions to three contracted private hospitals in Regions 1&2
Number of uninsured admissions to three contracted private hospitals
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Goal 1: Efficient and effective management of the RMHIs (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Planning, Research, and Forensics (DPRF)
Create the State Hospital Readmission Report (SHR) with information about the clients served by RMHIs
Use the SHR to profile population, diagnostic and readmission trends for clients receiving services in state psychiatric hospitals
One SHR will be compiled and contain information for about 7,500 individuals receiving services in psychiatric hospitals operated by the Department
Number of State Hospital Readmission (SHR) Reports submitted to the Substance Abuse and Mental Health Services Administration by March 1
Create standardized and ad hoc data briefs in collaboration with DHS to inform policy and practice
Prepare data briefs to illustrate trends and variations in admissions and discharges for psychiatric hospitals operated by or under contact with TDMHSAS
A minimum of six data briefs will be generated
Number of data briefs generated for DHS
Provide court ordered inpatient forensic evaluations and treatment services for defendants referred by outpatient evaluators
Provide inpatient forensic services in the least restrictive hospital setting
No more than 18% of all inpatient defendants will be admitted to the Forensic Services Program for inpatient forensic evaluation and treatment
Percentage of all inpatient defendants admitted to the Forensic Services Program for inpatient forensic evaluation and treatment
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Goal 2: Maintain and improve community mental health and substance abuse services Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Planning, Research, and Forensics (DPRF)
Provide technical assistance to support effective operation of Regional Councils
Effective operation of Regional Councils
Four quarterly conference calls or in-person meetings with the seven Regional Council Leadership Teams
Number of quarterly conference calls with the Regional Council Leadership Teams
Identify mental health and substance abuse service needs and supports in the community through annual needs assessment
Statewide needs assessment will be conducted annually
One statewide needs assessment per year will be completed with the seven Regional Councils, Adult Committee, Children’s Committee, and the Consumer Advisory Board
Number of statewide needs assessments per year
Regional Councils will participate in at least one mental health and substance abuse awareness activity per year
Increase Regional Councils mental health and substance abuse awareness activities
Regional Councils will participate in at least one activity per year
Number of Regional Council mental health and substance awareness activities per year
Provide technical assistance to department staff to help meet the outcomes identified in the Three-Year Plan
Increase the number of outcomes met for each division/office in the Three-Year Plan
Planning staff will meet with divisions/offices at least once before the February and August reports are due
Number of meetings held with divisions/offices per year prior to the Three-Year Plan Report due dates
New members representing a senior and child will be added to each Regional Council as vacancies occur
Increase the number of senior and child member representatives on each Regional Council
One senior and child member representative will be added to each Regional Council as vacancies occur
Number of senior and child member representatives on each Regional Council
Create data books and data briefs to compile information for policy makers, program directors and the public about key indicators of behavioral healthcare and services
Publish the data books and data briefs compiling information about indicators of community mental health and substance use as well as data trends and services
Complete two data books and two data briefs that will be made available to the public
Number of data books and number of data briefs accessible on the Department’s website
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Goal 2: Maintain and improve community mental health and substance abuse services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Planning, Research, and Forensics (DPRF)
Implementation of an integrated data warehouse to provide cross-division data to inform policy and practice
Develop a data governance plan describing how the data warehouse will automate federal reporting, standardize processes for data use and release across divisions, and define roles and decision rules for using the data warehouse
Three department divisions: DHS, DMHS, and DSAS
Number of automated reports for federal Mental Health Block Grant reporting
Conduct program evaluations that can be used to improve program quality in the community for mental health and substance abuse programs
Complete program evaluations for mental health and substance abuse programs in the community
Six program evaluations for TDMHSAS behavioral health programs will be completed
Number of program evaluations completed
Complete two data reports called the Uniform Reporting System Tables (URS) and Basic Client Information (BCI) containing information about the characteristics of individuals receiving publically funded mental health services in Tennessee for SAMHSA
Generate URS and BCI data reports to comply with federal Mental Health Block Grant reporting requirements
Three data reports (URS and BCI) will be compiled and include information about individuals receiving publicly funded mental health services
Number of data reports submitted to SAMHSA
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Goal 2: Maintain and improve community mental health and substance abuse services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Planning, Research, and Forensics (DPRF)
Provide court ordered forensic evaluations on an outpatient basis for courts statewide
Maximize the delivery of forensic services in the community rather than on an inpatient basis
77% of defendants a year statewide will be forensically evaluated on an outpatient basis without the need for forensic inpatient services
Percentage of outpatient forensic evaluations completed in the community without a referral for inpatient forensic services
Provide mental health and substance abuse screening to improve access to services for youth in juvenile courts
Establish systematic screening for mental health and substance abuse needs of youth in juvenile courts
1,200 screenings will be conducted with the Juvenile Justice version of the Child and Adolescent Needs and Strengths (CANS) survey in Juvenile Courts across the state
Number of screenings conducted in Juvenile Courts statewide
Division of Mental Health Services (DMHS)
Provide recovery-focused, intensive, and customized care coordination services which support individuals transitioning from mental health institutes to the least restrictive, most integrated community setting appropriate to individual needs
Tennessee Move Initiative will ensure individuals leaving mental health institutes transition to the least restrictive, most integrated community setting to maintain their living situation
60 individuals will receive recovery-focused, intensive, and customized care coordination services through the Tennessee Move Initiative
Number of individuals served by the Tennessee Move Initiative
Provide and expand a continuum of community-based mental health services to individuals with Severe Mental Illness (SMI) and/or Co-Occurring Disorders (CODs)
Access to a continuum of high quality and effective community-based mental health services
360,000 individuals with SMI and/or CODs will be served in the public mental health system
Number of individuals with SMI and/or CODs served in the public mental health system
Create additional housing opportunities and supports through Creating Homes Initiative (CHI)
Facilitate development and maintenance of safe, affordable housing opportunities for people with history of mental illness
800 new or improved housing or supported living opportunities will be available through CHI
Number of new or improved housing or supported living opportunities available through CHI
End homelessness for veterans, chronic homeless, homeless families, and other homeless individuals with mental illness and provide support that allows people experiencing mental illness to maintain stable housing
Homeless veterans, chronically homeless, homeless families, and other people experiencing homelessness, or at risk, will be linked to permanent housing
400 homeless veterans, chronically homeless, and/or homeless families will be moved into permanent housing through Cooperative Agreement to Benefit Homeless Individuals (CABHI) and Projects for Assistance in the Transition from homelessness (PATH)
Number of homeless veterans, chronically homeless, and/or homeless families moved into permanent housing through CABHI and PATH
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Goal 2: Maintain and improve community mental health and substance abuse services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Mental Health Services (DMHS)
Provide support that allows people experiencing mental illness to maintain stable housing through short-term financial support. Short term is Community Targeted Transitional Services (CTTS) and Inpatient Targeted Transitional Services (ITTS)
People experiencing mental illness will maintain stable housing through short-term financial support
2,900 individuals will receive short-term financial housing support through CTTS and ITTS
Number of individuals will receiving short-term financial housing support (CTTS and ITTS) as reported in the SAMHSA Homeless Management Information System
Provide long-term financial support to housing facilities serving people with mental illness. Facility support is Community Supportive Housing (CSH), Intensive Long-term Support (ILS), Emerging Adults (EA), and Supportive Living (SL)
Housing facilities serving people with mental illness will be provided long-term financial support
1,300 people will be served in housing facilities receiving long-term support (CSH, ILS, EA, and SL)
Number of individuals being served in housing facilities receiving long-term financial support programs (CSH, ILS, EA, and SL)
Improve the effectiveness of the Crisis Services Continuum network of services statewide
A statewide continuum of high quality and effective crisis services will be accessible by all individuals experiencing a mental health crisis
200,000 will receive services within the Crisis Services Continuum network statewide
Number of contacts linked to the following services: phone calls, mobile crisis, walk-in center, crisis respite, crisis stabilization units, and East TN Diversionary Services
Reduce the number of suicides in Tennessee through the provision of enhanced follow-up services following a suicide crisis
Improve service linkage and continuity of care for individuals at risk of suicide
300 individuals will be enrolled in enhanced follow-up services following a suicidal crisis
Number of individuals enrolled in enhanced follow-up services following a suicidal crisis
Eliminate disparities in services for uninsured adults in Tennessee, and in geographic and population areas (i.e. rural and ethnic populations)
Assist uninsured Tennesseans with serious mental illness so they can receive key services including assessment, evaluation, diagnostic, therapeutic intervention, case management, peer support services, psychosocial rehabilitation services, psychiatric medication management, labs related to medication management, and pharmacy assistance and coordination.
30,000 uninsured adults will be served in the Behavioral Health Safety Net of TN (BHSNTN)
Number of uninsured adults served by the BHSNTN
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Goal 2: Maintain and improve community mental health and substance abuse services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Mental Health Services (DMHS)
Provide peer support services to patients in all state RMHIs by expanding the Peer Engagement Project from Middle Tennessee Mental Health Institute (MTMHI) to include Moccasin Bend Mental Health Institute (MBMHI), Western Mental Health Institute (WMHI), Memphis Mental Health Institute (MMHI), and four Crisis Stabilization Units (CSUs)
Increase access to high quality and effective peer support services in four CSUs and RMHIs and reduce use of crisis services and hospitalization
5,000 people at CSUs or RMHIs will have received peer support services
Number of individuals receiving peer support services at CSUs and RMHIs
Promote health and wellness self-management programming for individuals over 18 with serious mental illness, substance abuse diagnoses, and co-occurring disorders
Serve individuals through self-management workshops or one-on-one peer wellness coaching delivered by state-funded Peer Wellness Coaches
900 individuals will be served through self-management workshops or one-on-one peer wellness coaching delivered by state-funded Peer Wellness Coaches
Number of individuals served through self-management workshops or one-on-one peer wellness coaching delivered by state-funded Peer Wellness Coaches
Provide and expand evidence-based employment services through the Individual Placement and Support (IPS) Supported Employment initiative for individuals over age 18 with SMI and/or CODs
The rate of employment for individuals with SMI and/or COD to increase through IPS Supported Employment
40% of the estimated 500 individuals will be served through the IPS Supported Employment initiative
Number of individuals served through Individual Placement and Support Supported Employment initiative who are employed in competitive and integrated work for at least one day
Provide early screening, assessment and referral for youth and young adults diagnosed with, or at risk of developing, Severe Mental Illness (SMI), Seriously Emotionally Disturbed (SED), or Co-Occurring Disorder (COD)
Healthy Transitions (HT) will provide youth and young adults with, or at risk of developing SMI, SED, or COD with age- and acuity- appropriate treatment and support services
20 youth and young adults with, or at risk of developing SMI, SED, or COD that will receive services through HT
Number of youth and young adults with, or at risk of developing SMI, SED, or COD served by HT program
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Goal 2: Maintain and improve community mental health and substance abuse services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Mental Health Services (DMHS)
Provide evidence-based treatment and recovery support services for youth and young adults who have experienced first episode psychosis
First Episode Psychosis Initiative (FEPI) will ensure that youth and young adults who have experienced first episode psychosis receive treatment and recovery support services
25 youth and young adults will receive treatment and recovery support services through FEPI
Number of youth and young adults who have experienced first episode psychosis served by FEPI program
Promote good mental health by increasing the number of individuals who self-report an increase in physical health behaviors
Increase physical health behaviors of individuals being served through community mental health services
450 individuals who self-report an increase in their physical health behaviors
Number of individuals who self-report an increase in their physical behaviors including healthy eating and physical activity
Division of Administrative and Regulatory Services (DARS)
Monitor licensed facilities to ensure compliance with licensing rules
Improved quality care and safer environments in licensed mental health and substance abuse facilities
1,950 licensing and oversight visits for mental health and substance abuse programs will be conducted
Number of licensing and oversight visits for mental health and substance abuse programs
Work cooperatively with other state health and social service agencies to address allegations of abuse, neglect and mistreatment of service recipients
Improved and safer environments for service recipients
Two individuals will be referred for placement on Department of Health (DOH) Abuse Registry thereby prohibiting their working with vulnerable population
Number of individuals referred for placement on DOH Abuse Registry.
Conduct a comprehensive review of licensure rules to identify recommended changes
Follows annual review of all licensure rules, recommend changes, as needed
Two licensure rules will be proposed for amendment
Number of licensure rules proposed for amendment
Train licensure surveyors across all three regional offices on the use of the licensure database and policies for investigations and inspections
Training of all licensure surveyors across all three regional offices to ensure consistent application of licensure rules and procedures
100% of licensure surveyors will participate in training
Percentage of licensure surveyors participating in training
Monitor department subrecipient agencies according to department’s fiscal year monitoring schedule to ensure subrecipient agencies’ compliance with fiscal requirements of department grant contracts
Subrecipient agencies compliance with fiscal, state and federal requirements of department grant contracts.
100% of scheduled agencies will be monitored
Percentage of subrecipient agencies on department plan monitored
Provide training and technical assistance to subrecipient grantees
Training and technical support to grantees regarding compliance with fiscal reporting requirements of subrecipient contracts
72 trainings or technical assistance events offered to contract agencies
Number of trainings or technical assistance events offered to contracted agencies
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Goal 2: Maintain and improve community mental health and substance abuse services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of General Counsel (DGC)
Ensure contracts are submitted to the Central Procurement Office on or before deadlines
Timely submission of contracts
85% of agency contracts will be timely processed
Percentage of agency contracts submitted by deadline
Ensure state representation for RMHIs at commitment and conservatorship hearings and other hearings/court matters involving the Department
State representation of RMHIs at commitment and conservatorship hearings and other hearings/court matters involving the Department
100% state representation of RMHIs at commitment and conservatorship hearings and other hearings/court matters involving the Department
Percentage of state representation of RMHIs at commitment and conservatorship hearings and other hearings/court matters involving the Department
Ensure state representation at administrative proceedings governed by the Uniform Administrative Procedures Act (UAPA) – Tennessee Code Annotated Title 4, Chapter 5
State representation at administrative proceedings to resolve disputes between citizens, state employees, and governmental agencies
100% state representation at administrative proceedings
Percentage of state representation at administrative proceedings
Engage in rulemaking and legislative activity
Update the rule version of Tennessee’s controlled substances schedules I, II, III, IV, and V
100% of the rules will be filed to update Tennessee’s controlled substances schedules I, II, III, IV, and V
Percentage of rules filed to update Tennessee’s controlled substance schedules I, II, III, IV, and V
Division of Substance Abuse Services (DSAS)
Contracted agencies will provide treatment services to intravenous drug users and will be monitored for compliance through DSAS’ contract monitoring process
All contracted providers will provide treatment services to intravenous drug users
Increase the percentage of individuals who will disclose they are intravenous drug users from 30% to 34%
Percentage of individuals who disclosed that they were an intravenous drug user
12
Goal 2: Maintain and improve community mental health and substance abuse services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Substance Abuse Services (DSAS)
Use a standardized pre and post test to determine if Human Immunodeficiency Virus (HIV)/Early Intervention Services (EIS) services are effective
Evaluate the DSAS funded HIV/EIS services in Tennessee to determine the effectiveness of the program
Increase the success rate of the HIV/EIS program from 84% to 88%
Percentage of consumers enrolled in treatment and completed the pre- and post-test for HIV/EIS
Use a standardized pre and post test to determine if Tuberculosis (TB) training is effective
Increase block grant treatment client’s knowledge about the risk factors, symptoms and testing methods for TB
Increase client’s knowledge from 67% to 71% about TB
Percentage of consumers enrolled in treatment and completed the pre- and post-test for TB
Make available programs that serve individuals who have been convicted of a non-violent crime and have a substance use or co-occurring disorder
Provide diversion opportunities for individuals in the criminal justice system with a substance use or co-occurring disorder
Increase the number of offenders receiving diversion services from 8,713 to 8,887
Number of individuals receiving diversion services
Certify new and recertify existing recovery courts utilizing the National Drug Court Ten Key Components
Ensure quality services are delivered through the recovery court system
Increase the number of recovery court certifications from 10 to 15
Number of drug courts certified and recertified
Provide an array of recovery support services for adult and adolescent consumers to supplement their treatment and to increase their chances of long-term sobriety
Supplement treatment service with recovery support services
Increase the number of consumers who receive recovery support services by 5% for a total of 2,763 consumers
Number of consumers currently enrolled in both treatment and recovery services
Certify recovery congregation/community organizations on the Tennessee Faith-Based Community Initiatives
Expand access to recovery support services through the faith community
Increase the number of faith-based recovery congregations by 30 for a total of 250
Number of faith-based congregations/organizations certified
13
Goal 2: Maintain and improve community mental health and substance abuse services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Substance Abuse Services (DSAS)
Provide informed care services to individuals who have disclosed experience with trauma
Treatment agencies will provide assurance that individuals who have experienced trauma are receiving trauma informed care services
Increase the number of individuals who receive trauma informed care services by 5% for a total of 4,200 individuals
Number of individuals who have been screened for trauma
Establish new recovery homes statewide
Expand self-supporting and drug free homes through Oxford House International for individuals in recovery
Increase the number of recovery homes by 9 for a total of 45
Number of new recovery homes
Goal 3: Provide effective education and prevention services Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Planning, Research, and Forensics (DPRF)
Provide training on standards and practices for certification for evaluators conducting court-ordered forensic mental health evaluations of criminal defendants ordered by Tennessee courts
Ensure that mental health professionals receive training for certification to conduct court-ordered forensic mental health evaluations by contracted community mental health agencies and the Regional Mental Health Institutes
Three Forensic Evaluator Training sessions will be offered each fiscal year
Number of Forensic Evaluator Training sessions
14
Goal 3: Provide effective education and prevention services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Mental Health Services (DMHS)
Collaborate with statewide partners on Children’s Mental Health Awareness Day to increase public awareness on children’s mental health
Provide education to the public about children’s mental health topics
Three articles will be published and spotlighted on kidcentraltn.com website annually
Number of articles published and spotlighted on kidcentraltn.com website annually
Provide educational presentations to children and youth at risk of social, emotional, or behavioral disorders
Erase the Stigma (ETS) will promote an understanding of mental illness and reduce stigma of mental illness using educational presentations and public awareness campaigns
15,000 children and youth at risk of social, emotional, or behavioral disorders will be served through ETS
Number of children and youth at risk of social, emotional, or behavioral disorders served through ETS program
Suicide prevention and post-vention training will be provided to individuals through Tennessee Suicide Prevention Network (TSPN)
Increase individuals awareness of suicide warning signs and risk factors
9,300 individuals will receive suicide prevention and post-vention training through TSPN
Number of individuals receiving suicide prevention and post-vention training through TSPN
Mental Health 101 training will be provided to middle and high school students
Decrease stigma associated with mental health and substance abuse issues for middle and high school students
10,000 middle and high school students will receive Mental Health 101 training
Number of middle and high school students receiving Mental Health 101 training
Implement the zero suicide framework within Tennessee’s health and behavioral healthcare organizations
Reduce suicide deaths, improve service linkage and compliance with the recommended plan of care
25 agencies will embed the zero suicide framework within their organization
Number of agencies who embed the zero suicide framework within their organization
15
Goal 3: Provide effective education and prevention services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Mental Health Services (DMHS)
Provide suicide prevention education for school employees and students through the Jason Foundation
Increase awareness and knowledge of suicide prevention for school employees and students
20,000 teachers will be trained and 280,000 students, parents and other interested adults will be impacted/reached by Project Tennessee through the Jason Foundation
Number of teachers trained and number of students, parents and other interested adults impacted/reached by Project Tennessee
Provide early intervention and prevention screening to middle and high school students with consenting parents through Tennessee Voices for Children (TVC)
Identify potential mental health and/or alcohol and drug use concerns through screening of middle and high school students
750 of middle and high school students will receive early intervention and prevention screenings through Youth Screen through TVC
Number of middle and high school students provided with general and consent information on the School & Communities Youth Screen Program
Increase the number of certified individuals for the Certified Family Support Specialist program
Ensure a pool of qualified persons who can provide Certified Family Support Specialist services
10 individuals will become Certified Family Support Specialists
Number of individuals that become Certified Family Support Specialists
Expand training opportunities for Certified Peer Recovery Specialists
Access to additional training opportunities in specialized subjects for Certified Peer Recovery Specialists
40 Certified Peer Recovery Specialists will receive enhanced training in a specialized subject matter
Number of Certified Peer Recovery Specialists who receive enhanced training in a specialized subject
Expand training opportunities for supervisors of Certified Peer Recovery Specialists
Access to training opportunities for supervisors of Certified Peer Recovery Specialists
20 supervisors of Certified Peer Recovery Specialists will receive specialized supervision training
Number of supervisors for Certified Peer Recovery Specialists who receive supervision training
16
Goal 3: Provide effective education and prevention services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Substance Abuse Services (DSAS)
Provide online and regional face-to-face educational and training opportunities for prevention, treatment and recovery support professionals
Increase the knowledge of evidence-based programs and strategies for the prevention, treatment, and recovery support workforce
1,600 substance abuse professionals will receive training on prevention, treatment, and recovery support services
Number of substance abuse professionals receiving training
Office of Communications (OC) Produce news releases, media advisories, and Departmental promotional materials
Increase the number of news releases, media advisories, and Departmental promotional materials distributed
Distribute 40 news releases, media advisories, and Departmental promotional materials
Number of news releases, media advisories, and Departmental promotional materials
Produce and publish the Update, featuring Department and provider news
Produce four Update Department Newsletters and distribute through email and via the web
Produce four Update Department Newsletters
Number of newsletters produced
Engage with the public, providers, and staff through social media posts
Provide education, awareness, and prevention information through Facebook postings
250 Facebook postings
Number of Facebook postings per year
Distribute emails with current behavioral health news
Email summaries on current news, research, and trends to Department staff and providers
225 email summaries will be sent
Number of email summaries
Provide the public online resources for mental health and substance abuse services, programs, and initiatives via our website
Promote prevention, early intervention, treatment, habilitation, and recovery support services via the web
175,000 unique web page visitors
Number of unique web page visitors
17
Goal 3: Provide effective education and prevention services (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Clinical Leadership (DCL)
Provide mental health and suicide prevention information to veterans
Increase veterans awareness of mental health and suicide prevention
125 veterans will receive mental health suicide prevention information
Number of veterans who receive mental health and suicide prevention information
Develop and implement suicide prevention plans and activities in the faith communities
Prevent suicide in the faith communities
12 community faith leaders will develop and implement suicide prevention plans and activities
Number of faith communities who develop and implement suicide statements for suicide prevention plans/activities
Ongoing implementation of Therapeutic Intervention, Education, and Skills (TIES)
Through TIES, serve families with at least one caregiver with a substance abuse issue and with children at-risk of being placed in state custody
80% or more children have successfully remained in their homes with at least one caregiver with a substance abuse issue
Percentage of TIES children that have been safely and successfully maintained in their homes
Monitor opioid treatment programs to improve quality of care
Enhance patient care, safety and improve patient outcomes in opioid treatment programs
Two monitoring visits per year will be conducted on opioid treatment programs
Number of monitoring visits to opioid treatment programs in compliance with standards
Goal 4: Lead in partnership with state agencies and community partners to prevent and treat prescription drug abuse epidemic in Tennessee Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Planning, Research, and Forensics (DPRF)
Provide information about prescription drug use, abuse, and dependence to interdepartmental groups including the Public Safety Subcabinet, the State Epidemiological Outcomes Workgroup (SEOW), and the Heroin Working Group
Analyze and share data among state agencies to identify current and emerging prescription drug use, abuse, and dependence trends in Tennessee
Four agencies will participate in the substance use, abuse, and dependence data sharing and review
Number of interagency data briefs on substance use, abuse, and dependence disseminated to other agencies
18
Goal 4: Lead in partnership with state agencies and community partners to prevent and treat prescription drug abuse epidemic in Tennessee (continued) Division:
Programs and actions: What we expect to accomplish?
How many we will serve? How we know we have succeeded?
Division of Substance Abuse Services (DSAS)
Community anti-drug coalitions will address prescription drug abuse in their community and develop comprehensive community plans to address these issues
Increase awareness to the dangers of the prescription drug abuse through public education, decreased access, and media campaigns
Increase the number of community-based coalitions from 42 to 45
Community anti-drug coalitions will address prescription drug abuse in their community and develop comprehensive community plans to address these issues
Increase the number of adult recovery courts
Expand access to adult recovery courts across Tennessee with emphasis on treating prescription drug addiction
Establish 54 new adult recovery courts
Number of adult recovery courts
Establish evidence-based addiction and recovery programs; i.e. Narcotics Anonymous (NA) and Alcoholics Anonymous (AA)
Increase the number of recovery group meetings in the community
Increase the number of recovery meetings by 67 for a total of 300
Number of recovery meetings
19
Reporting: Division of Hospital Services
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of presentations at the RMHIs Number 3,478 < 4,000
Number of individuals admitted to the RMHIs Percentage 9.48% < 15%
Percentage of patient satisfaction surveys with positive responses
Percentage 78.6% 80%
Percentage of readmits within 30 days of discharge
Number 291 360
Number of AMDC implemented for each unit at each RMHI
Number zero 24
Number of ECR implemented at one RMHI
Number zero 4
20
Reporting: Division of Planning, Research, and Forensics
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of State Hospital Readmission (SHR) Reports submitted to the Substance Abuse and Mental Health Services Administration by March 1
Number 1 1
Number of data briefs generated for DHS
Number 6 6
Percentage of all inpatient defendants admitted to the Forensic Services Program for inpatient forensic evaluation and treatment
Percentage 15% 12%
Number of quarterly conference calls with the Regional Council Leadership Teams
Number 4 4
Number of statewide needs assessments per year
Number 1 1
Number of Regional Councils mental health and substance awareness activities per year
Number 1 1
21
Reporting: Division of Planning, Research, and Forensics (continued)
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of meetings held with divisions/offices per year prior to the Three-Year Plan Report due dates
Number 2 2
Number of senior and child member representatives on each Regional Council
Number 1 1
Number of data books and data briefs accessible on the Department’s website
Number 4 4
Number of program evaluations completed
Number 6 6
Number of data reports submitted to SAMHSA
Number 2
3
Number of automated reports for federal Mental Health Block Grant reporting
Number 2 2
Percentage of outpatient forensic evaluations completed in the community without a referral for inpatient forensic services
Percentage 25% 22%
22
Reporting: Division of Planning, Research, and Forensics (continued)
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of screenings conducted in Juvenile Courts statewide
Number 1,500 1,700
Number of Forensic Evaluator Training sessions
Number 3 3
Number of interagency data briefs
Number 4 4
23
Reporting: Division of Mental Health Services
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of individuals served by the Tennessee Move Initiative
Number 67 60
Number of individuals with SMI and/or CODs served in the public mental health system
Number 352,043 360,000
Number of new or improved housing or supported living opportunities available through Creating Homes Initiative (CHI)
Number 2,287 800
Number of homeless veterans, chronically homeless, and/or homeless families moved into permanent housing
Number 775 400
Number of individuals will receiving short-term financial housing support (CTTS and ITTS) as reported in the SAMHSA Homeless Management Information System
Number 4,665 1,300
24
Reporting: Division of Mental Health Services (continued)
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of individuals being served in housing facilities receiving long-term financial support programs (CSH, ILS, EA, and SL)
Number 1,598 1,300
Number of contacts linked to the following services: phone calls, mobile crisis, walk-in center, crisis respite, crisis stabilization until, East TN Diversionary Services
Number 220,746 200,000
Number of individuals enhanced follow-up services following a suicidal crisis
Number 878 300
Number of uninsured adults served by the Behavioral Health Safety Net of TN (BHSNTN)
Number 29,898 30,000
Number of individuals receiving peer support services at Crisis Stabilization Units (CSU) and Regional Mental Health Institutes (RMHIs)
Number 6,548 5,000
Number of individuals served through self-management workshops or one-on-one peer wellness coaching delivered by state-funded Peer Wellness Coaches
Number 801 900
25
Reporting: Division of Mental Health Services (continued)
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Percentage of individuals served through Individual Placement and Support Supported Employment initiative who are employed in competitive and integrated work for at least one day
Percentage
41%
40%
Number of youth and young adults with, or at risk of developing Severe Mental Illness (SMI), Seriously Emotionally Disturbed (SED), or Co-Occurring Disorder (COD) served by Healthy Transitions program
Number 38 20
Number of youth and young adults who have experienced first episode psychosis served by the First Episode Psychosis Initiative (FEPI) program
Number 72 25
Number of individuals who self-report an increase in their physical behaviors including healthy eating and physical activity
Number 408 450
26
Reporting: Division of Mental Health Services (continued)
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of articles published and spotlighted on kidcentraltn.com website annually
Number 6 3
Number of children and youth at risk of social, emotional, or behavioral disorders served through the Erase the Stigma program
Number 18,158 15,000
Number of individuals receiving suicide prevention and post-vention training by Tennessee Suicide Prevention Network (TSPN)
Number 18,556 9,300
Number of middle and high school students receiving Mental Health 101 training
Number 26,940 10,000
Number of agencies who embed the zero suicide framework within their organization
Number 21 25
27
Reporting: Division of Mental Health Services (continued)
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of teachers trained and number of students, parents and other interested adults impacted/reached by Project Tennessee
Number 392,915 300,000
Number of middle and high school students provided with general and consent information on the School & Communities Youth Screen Program
Number
5,595 provided consent
information; 220 screened
750
Number of individuals that become Certified Family Support Specialists
Number 6
10
Number of Certified Peer Recovery Specialists who receive enhanced training in a specialized subject
Number 90 40
Number of supervisors for Certified Peer Recovery Specialists who receive supervision training
Number 77 20
28
Reporting: Division of Administrative and Regulatory Services
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of licensing oversight visits for mental health and substance abuse programs
Number 1,540 1,950
Number of individuals referred for placement on Department of Health (DOH) Abuse Registry
Number 1 2
Number of licensure rules proposed for amendment
Number 2 2
Percentage of licensure surveyors participating in training
Percentage 100% 100%
Percentage of subrecipient agencies on department plan monitored
Percentage 100% 100%
Number of trainings or technical assistance events offered to contracted agencies
Number 44 72
29
Reporting: Division of General Counsel
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Percentage of agency contracts submitted by deadline
Percentage 80% 85%
Percentage of state representation of RMHIs at commitment and conservatorship hearings and other hearings/court matters involving the Department
Percentage 100% 100%
Percentage of state representation at administrative proceedings
Percentage 100% 100%
Percentage of rules filed to update Tennessee’s controlled substance schedules I, II, III, IV, and V
Percentage 100% 100%
30
Reporting: Division of Substance Abuse Services
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Percentage of individuals who disclosed that they were an intravenous drug user
Percentage 41% 43%
Percentage of consumers enrolled in treatment and completed the pre- and post-test for HIV/EIS
Percentage 88% 88%
Percentage of consumers enrolled in treatment and completed the pre- and post-test for TB
Percentage 71% 75%
Number of individuals receiving diversion services
Number 8,900 9,500
Number of drug courts certified and recertified
Number 11 16
Number of consumers currently enrolled in both treatment and recovery services
Number 5,772 6,272
Number of faith-based congregations and organizations certified
Number 220 250
31
Reporting: Division of Substance Abuse Services (continued)
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of individuals who have been screened for trauma
Number 8,620 9,051
Number of new recovery homes
Number 56 65
Number of substance abuse professionals receiving training
Number 1,600 1,600
Number of community-based coalitions
Number 42 45
Number of adult recovery courts
Number 52 54
Number of recovery meetings
Number 334 20
32
Reporting: Office of Communications
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of news releases and media advisories distributed
Number 36 40
Number of newsletters produced
Number 3 4
Number of Facebook postings per year
Number 250 250
Number of email summaries
Number 225 225
Number of website page views
Number 175,000 175,000
33
Reporting: Division of Clinical Leadership
Key Performance Indicator (KPI)
KPI Unit
KPI Baseline (FY17: July 2016 – June 2017)
KPI Target (FY18: July 2017 – June 2018)
February Report (July 2017 – Dec. 2017)
August Report (Jan. 2018 – June 2018)
Explanation (if applicable)
Number of veterans who receive mental health and suicide prevention information
Number 100 125
Number of faith communities who develop and implement suicide statements for suicide prevention plans/activities
Number 10 12
Percentage of TIES children that have been safely and successfully maintained in their homes
Percentage 75% 80%
Number of monitoring visits to opioid treatment programs in compliance with standards
Number 2 2
34